Acceptability and Preliminary Efficacy of an Online HIV Prevention Intervention for Single Young Men Who Have Sex with Men Seeking Partners Online: The myDEx Project
Acceptability and Preliminary Efficacy of an Online HIV Prevention Intervention for Single Young Men Who Have Sex with Men Seeking Partners Online: The myDEx Project
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DOI：
10.1007/s10461-019-02426-7
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发表时间：
2019-11-01
影响因子：
4.4
通讯作者：
Harper, Gary W.
中科院分区：
文献类型：
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作者：
Bauermeister, Jose A.;Tingler, Ryan C.;Harper, Gary W.
预防年轻男同性恋者、双性恋者和其他男男性行为者（18-24岁）的艾滋病毒新发病例仍然是一个优先事项。我们开发并试点测试了一种在线干预（myDEx），使用一项试点随机试验设计，对180名在线招募的单身YGBMSM进行了测试，这些人最近报告了无保护的肛交，自我报告为艾滋病毒阴性或不知情，并通过在线约会应用程序遇到了性伴侣。myDEx参与者报告的总体满意度（d = 0.46）和向朋友推荐干预的意愿（d = 0.48）高于对照组。myDEx参与者不太可能报告说，他们使用安全套是为了与伴侣建立情感联系（d = 0.43），而在寻找伴侣的过程中，他们更有可能报告说，自己有更强的情绪调节能力（d = 0.44）。myDEx参与者报告说，与他们进行无套肛交的性伴侣较少（d = 0.48）。我们的试验结果证明了myDEx干预的潜力，表明未来可能需要进行更大规模的疗效试验。
Prevention of new cases of HIV among young gay, bisexual and other men who have sex with men (YGBMSM; ages 18-24) remains a priority. We developed and pilot tested an online intervention (myDEx) using a pilot randomized trial design with 180 online-recruited single YGBMSM who reported recent unprotected anal intercourse, self-reporting as HIV negative or status-unaware, and who met sexual partners through online dating applications. myDEx participants reported higher overall satisfaction (d = 0.46) and willingness to recommend the intervention to friends (d = 0.48) than controls. myDEx participants were less likely to report foregoing condoms to achieve an emotional connection with a partner (d = 0.43), and more likely to report greater emotional regulation during their partner-seeking behaviors (d = 0.44). myDEx participants reported fewer partners with whom they had condomless receptive anal sex (d = 0.48). Our pilot results demonstrate the potential of the myDEx intervention, suggesting that a larger efficacy trial may be warranted in the future.